J 2022

NECPAL Tool Aids Early Identification of Palliative Care Needs

KABELKA, Ladislav and Ladislav DUŠEK

Basic information

Original name

NECPAL Tool Aids Early Identification of Palliative Care Needs

Authors

KABELKA, Ladislav (203 Czech Republic, guarantor, belonging to the institution) and Ladislav DUŠEK (203 Czech Republic, belonging to the institution)

Edition

Journal of Palliative Medicine, NEW ROCHELLE, MARY ANN LIEBERT, INC, 2022, 1096-6218

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.800

RIV identification code

RIV/00216224:14110/22:00126650

Organization unit

Faculty of Medicine

UT WoS

000778443700001

Keywords in English

early indication for palliative care; hospice; leadership; multicausality; NECPAL; networking in palliative care; polymorbidity; specialized palliative care

Tags

International impact, Reviewed
Změněno: 3/4/2023 10:22, Mgr. Tereza Miškechová

Abstract

V originále

Background: A key issue in the development of population-based access to palliative care is identification of appropriate patients. Objective: To evaluate the NECPAL (NECesidades Paliativas) tool to identify unmet palliative care needs in the Czech Republic in regional hospitals of the Vysocina region. Methods: We used the End-of-Life care information system (ELFis) to evaluate prognostication to aid the identification of palliative care needs. The evaluation process was developed in cooperation with the regional government and central health care insurance agency as a step toward the development of a nation-wide palliative care program. Results: Our results demonstrate that the NECPAL tool successfully identified palliative care needs in specifically prepared clinical environment. An important part of this is a support of main stakeholders and an effective leadership. Conclusion: An unexpected finding was the role that leadership played in testing the tool, and very short time (10 months) needed for statistically visible changes in a regional system of care.